ABSTRACT
Cultural competence is an important component of client-centered care in health promotion and community health services, especially considering the changing demographics of North America. Although a number of tools for evaluating cultural competence have been developed, few studies have reported on the results of organizational cultural competence evaluations in health care or social services settings. This article aims to fill this gap by providing a description of a cultural competence evaluation of a community health center serving a diverse population. Data collection included reviewing documents, and surveying staff, management, and the Board of Directors. The organization fully met 28 of 53 standards of cultural competence, partially met 21 standards, and did not meet 2 standards, and 2 standards could not be assessed due to missing information. The advantages and lessons learned from this organizational cultural competence evaluation are discussed.
Subject(s)
Community Health Centers/organization & administration , Cultural Competency , Health Promotion/organization & administration , Organizational Culture , Adult , Aged , Female , Humans , Male , Middle Aged , Ontario , Program Evaluation , Surveys and QuestionnairesABSTRACT
OBJECTIVES: In an effort to address the significant socio-cultural changes in the population demographics of the United States (US) and Canada, organizations are increasingly seeking ways of improving their level of cultural competence. Evaluating organizational cultural competence is essential to address the needs of ethnic and cultural minorities. Yet, research related to organizational cultural competence is relatively new. The purpose of this paper is to review the extant literature with a specific focus on: (1) identifying the key standards that define culturally competent community health and social service organizations; and (2) outlining the core elements for evaluating cultural competence in a health and social service organization. Furthermore, issues related to choosing self-assessment tools and conducting an evaluation will be explored.
Subject(s)
Cultural Competency , Needs Assessment/organization & administration , Program Evaluation/methods , Community Health Centers/organization & administration , Cultural Competency/education , Cultural Competency/organization & administration , Cultural Diversity , Data Collection , Guideline Adherence , Humans , Organizational Policy , Planning Techniques , Practice Guidelines as Topic , Professional Staff Committees/organization & administration , Quality Indicators, Health Care/organization & administration , Self-Assessment , Social Work/organization & administrationABSTRACT
Although child labor laws are designed to protect youth from serious injury in the workplace, there are a number of other factors that influence the effectiveness of occupational injury prevention including adolescent risk perception, failure to understand worker rights, and lack of experience. The growing adolescent Hispanic population in the U.S. is of particular concern because cultural and economic barriers have the potential to further influence these young workers' safety. A greater emphasis on research among Hispanic adolescents is crucial to minimizing adolescent worker injury. To propose effective age and culturally appropriate intervention programs, it will be necessary to understand the knowledge, attitude and beliefs regarding occupational risks within the working adolescent Hispanic community.
